| NPI | 1366182701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 19466) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-04-01 |