| NPI | 1346343209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 7132-C) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 01496-L) |
| 101YM0800X Counselor Mental Health (Licence: NV 7132-C) | |
| 104100000X Social Worker (Licence: NV 7132-C) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2016-05-26 |