| NPI | 1609121342 |
|---|---|
| Former Name | HANNAH KRUEGER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC-375) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 1756-13) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2025-03-05 |