| NPI | 1699364018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2403011) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A2107012) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2024-03-26 |