| NPI | 1891098703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015474) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2013-08-31 |