| NPI | 1558487033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ SC00057) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY PR0225251) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |