| NPI | 1487477899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-02-28 |