NPI | 1740482835 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 78111) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E626) |
104100000X Social Worker (Licence: OH s1145) | |
Enumeration Date | 2007-06-01 |
Last Update Date | 2007-07-08 |