NPI | 1740737766 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
101YM0800X Counselor Mental Health | |
103TB0200X Psychologist Cognitive & Behavioral | |
103TF0200X Psychologist Forensic | |
1041C0700X Social Worker Clinical | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2016-09-07 |
Last Update Date | 2016-09-07 |