NPI | 1649303926 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA lcs18468) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 18468) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2011-09-14 |