NPI | 1619423779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ACSW105832) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
104100000X Social Worker | |
104100000X Social Worker (Licence: CA 105832) | |
Enumeration Date | 2016-08-29 |
Last Update Date | 2022-06-08 |