| NPI | 1831702109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW125542) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW103194) |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2024-08-29 |