NPI | 1558494245 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
101YM0800X Counselor Mental Health | |
104100000X Social Worker | |
Enumeration Date | 2007-03-13 |
Last Update Date | 2007-07-08 |