NPI | 1336039866 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 127537) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL07273600) |
Enumeration Date | 2025-07-07 |
Last Update Date | 2025-07-07 |