NPI | 1790844512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW25857) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2006-12-07 |
Last Update Date | 2024-09-17 |