| NPI | 1447378815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 8241) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 8241) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-12-12 |