NPI | 1629560610 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS22661) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2018-06-05 |
Last Update Date | 2018-06-05 |