NPI | 1326812074 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
Enumeration Date | 2023-11-13 |
Last Update Date | 2023-11-13 |