| NPI | 1588858898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 27022) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2011-06-23 |