| NPI | 1962821702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 933445) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0007237) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |