| NPI | 1881239465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 103TF0000X Psychologist, Family | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |