| NPI | 1477167872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 116463) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: CA 116463) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2023-07-17 |