| NPI | 1437834397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW139723) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06888100) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |