NPI | 1285223768 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 99898) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 99898) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2021-01-11 |
Last Update Date | 2023-07-03 |