| NPI | 1992288856 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: 104793) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MA 104793) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |