| NPI | 1780227736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MN 305445) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2024-10-21 |