NPI | 1306354360 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW115908) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 115908) |
1041C0700X Social Worker, Clinical | |
171M00000X Case Manager/Care Coordinator | |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-01-11 |
Last Update Date | 2024-09-17 |