| NPI | 1821674003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.176149) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2024-10-30 |