| 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 |