| NPI | 1053905810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 099882) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 111935) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2025-06-24 |