| NPI | 1770949059 |
|---|---|
| Former Name | MARIE HELENE CHARLAP |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R046625) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY R-046625) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140028) | |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2025-03-20 |