NPI | 1386730927 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-J1303210934) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2006-10-04 |
Last Update Date | 2013-03-21 |