| NPI | 1003452939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095297) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 081157) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2023-10-16 |