| NPI | 1992958193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 102X00000X Poetry Therapist | |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |