NPI | 1487380895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ACSW93413) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW93413) |
Enumeration Date | 2022-07-27 |
Last Update Date | 2024-08-30 |