NPI | 1407186588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW97070) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW97070) |
Enumeration Date | 2010-01-12 |
Last Update Date | 2023-07-10 |