NPI | 1386073765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW33376) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 104155) |
Enumeration Date | 2013-11-05 |
Last Update Date | 2022-02-02 |