| NPI | 1497006225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000811) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 811) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2022-07-21 |