| NPI | 1114068459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW70121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW25044) |
| 225400000X Rehabilitation Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2018-01-03 |