| NPI | 1962557900 |
|---|---|
| Professional Name | SIDARY SAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW94013) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 22278) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2021-03-08 |