NPI | 1932160173 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NY R17497) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY R17497) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2008-05-21 |