| NPI | 1942624176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17067-130) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2043-226) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |