NPI | 1275221863 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 2013089) |
225400000X Rehabilitation Practitioner | |
1041C0700X Social Worker Clinical | |
Enumeration Date | 2023-05-01 |
Last Update Date | 2024-07-22 |