NPI | 1831536028 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC6717) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA T0912071404) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-05-28 |
Last Update Date | 2022-03-23 |