NPI | 1053723965 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IN 39002784A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-05-27 |
Last Update Date | 2018-03-17 |