| NPI | 1962977769 |
|---|---|
| Other Name | PINNY ROTH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23747) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 23747) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2022-08-15 |