NPI | 1760093942 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 103321) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 103321) |
1041C0700X Social Worker, Clinical (Licence: CA 103321) | |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-08-12 |
Last Update Date | 2023-06-20 |