NPI | 1841441029 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW70255) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA ASW27600) |
Enumeration Date | 2008-10-06 |
Last Update Date | 2016-12-12 |