NPI | 1407332653 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW102174) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA ASW102174) | |
Enumeration Date | 2018-07-11 |
Last Update Date | 2023-08-14 |