| NPI | 1871292771 |
|---|---|
| Former Name | EMILY JAY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW113146) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW113146) |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2024-03-20 |