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 |