NPI | 1598529570 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: PA SW14006) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 120121) |
104100000X Social Worker (Licence: NJ 44SL07095700) | |
104100000X Social Worker (Licence: PA BSW000008) | |
104100000X Social Worker (Licence: RI CSW03661) | |
Enumeration Date | 2024-02-09 |
Last Update Date | 2024-09-17 |