| NPI | 1003138710 |
|---|---|
| Former Name | TREBOR WELLINGTON BOSLEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2010088) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2021-04-29 |