NPI | 1497539811 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci27730719) | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2023-08-24 |
Last Update Date | 2024-04-19 |