| NPI | 1962992453 |
|---|---|
| Other Name | TREVOR BAILER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05980200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW134345) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2023-01-17 |