NPI | 1598110645 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA asw68759) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW68759) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2016-04-26 |
Last Update Date | 2019-01-02 |