| NPI | 1386886091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 5461) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2020-12-02 |