NPI | 1831230549 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA LCS 10780) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC9327) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2007-07-08 |