| NPI | 1386070472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 102X00000X Poetry Therapist | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2025-09-05 |