| 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 |