NPI | 1093584153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 122156) |
Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW19764) |
Enumeration Date | 2023-12-29 |
Last Update Date | 2023-12-29 |