NPI | 1205500154 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 120243) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2021-08-04 |
Last Update Date | 2024-02-01 |