| NPI | 1407515315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator (Licence: NH 04529) | |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2025-04-11 |