NPI | 1013118694 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00057686) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2008-03-27 |