| NPI | 1851877849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P2010083) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A1809134) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2021-05-05 |