NPI | 1558609420 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088704) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2013-01-28 |
Last Update Date | 2024-03-08 |