| NPI | 1477821171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60163916) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60656654) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2016-08-01 |