| NPI | 1841477262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 2941) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL SW 2941) |
| 101YM0800X Counselor, Mental Health (Licence: FL SW 2941) | |
| 101YP1600X Counselor, Pastoral (Licence: FL SW 2941) | |
| 101YP2500X Counselor, Professional (Licence: FL SW 2941) | |
| 104100000X Social Worker (Licence: FL SW 2941) | |
| 106H00000X Marriage & Family Therapist (Licence: FL SW 2941) | |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2010-10-15 |