NPI | 1770953580 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW91195) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW91195) |
101YM0800X Counselor, Mental Health (Licence: CA 91195) | |
Enumeration Date | 2015-10-06 |
Last Update Date | 2023-08-11 |