| NPI | 1598529570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW14006) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL07095700) |
| 104100000X Social Worker (Licence: NY 120121) | |
| 104100000X Social Worker (Licence: PA BSW000008) | |
| 104100000X Social Worker (Licence: RI CSW03661) | |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2026-01-06 |