| NPI | 1366993438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05825000) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05897800) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2022-08-13 |