NPI | 1134786098 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 113141) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW87553) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2019-05-24 |
Last Update Date | 2023-05-10 |