| NPI | 1437888468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW108696) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-08-03 |