NPI | 1033364591 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2178) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-11-25 |
Last Update Date | 2024-03-23 |