NPI | 1316253529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 69443) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2010-08-25 |
Last Update Date | 2015-12-31 |