NPI | 1033366117 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2445) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH7976) |
Enumeration Date | 2008-08-20 |
Last Update Date | 2008-08-20 |