NPI | 1316280332 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW74493) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2013-03-27 |
Last Update Date | 2019-06-27 |