| NPI | 1598034415 |
|---|---|
| Former Name | WILLIAM RODRIGUEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12841) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05487100) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2016-06-12 |