NPI | 1861876948 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW77959) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW77959) |
104100000X Social Worker | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-07-17 |
Last Update Date | 2023-12-18 |