NPI | 1790792083 |
---|---|
Former Name | ALEX SZKOLNYJ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R052104-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R052104-0) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2020-05-14 |