| NPI | 1265263156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 124273-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 124273) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2025-01-23 |