NPI | 1295975456 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA ASW107263) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW107263) |
Enumeration Date | 2009-03-02 |
Last Update Date | 2025-10-07 |