| NPI | 1013677665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171M00000X Case Manager/Care Coordinator (Licence: NM CTB-2023-0448) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2025-10-31 |