| NPI | 1437790276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 103465) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2023-11-29 |