NPI | 1245908151 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YS0200X Counselor, School | |
103K00000X Behavior Analyst | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2021-09-03 |
Last Update Date | 2022-03-01 |