NPI | 1003142233 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081480) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
Enumeration Date | 2009-10-22 |
Last Update Date | 2016-06-21 |