NPI | 1174419485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW131616) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2025-06-13 |
Last Update Date | 2025-07-10 |