| NPI | 1891113767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW92312) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: CA ASW92312) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW92312) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2024-05-24 |