NPI | 1740680909 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11117) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW117885) |
372600000X Adult Companion | |
Enumeration Date | 2014-08-25 |
Last Update Date | 2025-01-05 |