| NPI | 1437745213 |
|---|---|
| Former Name | SERENA PUTTERMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW04162) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC24215) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2025-04-10 |