| NPI | 1891421806 |
|---|---|
| Other Name | PAUL GRAHAM |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB-2024-0565) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2024-06-13 |