| NPI | 1922741750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149022097) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-04-19 |