| NPI | 1942518048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7790S) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23799) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2021-05-25 |