NPI | 1316270291 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA ASW86439) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2009-09-10 |
Last Update Date | 2021-03-04 |