| NPI | 1518567593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095063) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107353) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2024-04-03 |