NPI | 1952957938 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 104693) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
171M00000X Case Manager/Care Coordinator | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-08-14 |
Last Update Date | 2023-07-10 |