NPI | 1952491961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73-069282) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069282) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2014-01-28 |