| NPI | 1346411360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP1600X Counselor, Pastoral | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2015-01-27 |