| NPI | 1063665917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 943) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8809) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2023-12-10 |