| NPI | 1659793941 |
|---|---|
| Former Name | BURKE HALINOVYCH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 86249) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 32434) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.017221) | |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2023-02-23 |