NPI | 1760712186 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1306068) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR P1306068) |
101YM0800X Counselor, Mental Health (Licence: AR P1306068) | |
Enumeration Date | 2010-01-07 |
Last Update Date | 2019-06-21 |