NPI | 1043688005 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor Mental Health | |
103T00000X Psychologist | |
Enumeration Date | 2015-09-08 |
Last Update Date | 2015-09-08 |