| NPI | 1689742462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 2999) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 692) |
| 101YP2500X Counselor, Professional (Licence: NC 2999) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2021-12-30 |