NPI | 1124652888 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2020-03-02 |
Last Update Date | 2023-03-23 |