| NPI | 1346675972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 91139) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 67883) |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2019-08-19 |