NPI | 1275253023 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW112889) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
104100000X Social Worker | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-08-31 |
Last Update Date | 2023-06-23 |