| NPI | 1821882531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA APCC18880) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC18880) |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-12 |