NPI | 1891187712 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6382) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 596) | |
101YM0800X Counselor, Mental Health | |
101YP1600X Counselor, Pastoral | |
Enumeration Date | 2015-03-02 |
Last Update Date | 2018-12-28 |