| NPI | 1760964696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 101YA0400X) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CP61158216) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2024-05-15 |