NPI | 1700097953 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001731A) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001295A) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 39001731A) | |
Enumeration Date | 2007-05-26 |
Last Update Date | 2024-01-11 |