NPI | 1922323898 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 070465-1) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 1568913) |
Enumeration Date | 2010-04-02 |
Last Update Date | 2010-04-02 |