NPI | 1548345184 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28434) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2006-10-25 |
Last Update Date | 2021-03-12 |