| NPI | 1073842662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100225) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 77223) |
| 101YM0800X Counselor, Mental Health | |
| 225400000X Rehabilitation Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2022-06-09 |