NPI | 1770816258 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW85701) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW30263) |
Enumeration Date | 2009-09-15 |
Last Update Date | 2023-08-16 |