| NPI | 1497859599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R04400401) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01333400) | |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-06-11 |