NPI | 1891944385 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ACSW96740) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ACSW96740) |
Enumeration Date | 2008-09-09 |
Last Update Date | 2023-12-12 |