NPI | 1326539008 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MS 2283) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MS 2283) |
101YM0800X Counselor, Mental Health (Licence: MS 2283) | |
101YP2500X Counselor, Professional (Licence: MS 2283) | |
Enumeration Date | 2018-05-29 |
Last Update Date | 2018-05-29 |