NPI | 1649798042 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW120588) |
106S00000X Behavior Technician | |
171M00000X Case Manager/Care Coordinator | |
172V00000X Community Health Worker | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-09-06 |
Last Update Date | 2024-07-16 |