| NPI | 1215441126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH cdca.150223) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: QMHS) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2019-06-04 |