| NPI | 1245991587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13791) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 66903) |
| Enumeration Date | 2022-01-09 |
| Last Update Date | 2022-01-09 |