NPI | 1265088827 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW103919) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: CA ASW103919) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-08-09 |
Last Update Date | 2025-07-02 |