NPI | 1891357695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114382) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 96397) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-07-01 |
Last Update Date | 2023-04-03 |