NPI | 1770711418 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2009-07-01 |
Last Update Date | 2009-07-01 |