| NPI | 1962655191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080346) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 073487) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2023-11-10 |