NPI | 1023473923 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69981) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
101YS0200X Counselor, School | |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
251B00000X Case Management | |
251S00000X | |
Enumeration Date | 2015-12-18 |
Last Update Date | 2024-07-02 |