NPI | 1053151118 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME XL7530) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-05-28 |
Last Update Date | 2024-06-18 |