NPI | 1043398530 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW125646) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2024-09-06 |