NPI | 1457555195 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL05537400) |
Additional Taxonomies | 104100000X Social Worker (Licence: NM X05825) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2009-07-08 |