NPI | 1588065650 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 092195) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05974000) |
Enumeration Date | 2014-09-09 |
Last Update Date | 2014-09-09 |