| NPI | 1346078854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 178.020286) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 178.020286) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178.020286) | |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |