NPI | 1841530102 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 124586) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2013-02-25 |
Last Update Date | 2024-07-30 |