NPI | 1710596168 |
---|---|
Former Name | KEVIN WILLIAM HALL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 113090) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-07-30 |
Last Update Date | 2023-08-14 |