NPI | 1871017244 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: CA ASW93028) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-07-27 |
Last Update Date | 2023-07-18 |