NPI | 1275661100 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW24452) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW24452) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2013-06-17 |