NPI | 1770643546 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS16363) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2006-12-11 |
Last Update Date | 2024-09-17 |