NPI | 1366937757 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107568) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 84502) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2018-06-27 |
Last Update Date | 2024-10-15 |