NPI | 1083394993 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 107204) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
1041S0200X Social Worker, School | |
Enumeration Date | 2023-07-25 |
Last Update Date | 2023-07-27 |