NPI | 1871624049 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 97091) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 97091) |
104100000X Social Worker | |
Enumeration Date | 2007-03-08 |
Last Update Date | 2023-06-22 |