| NPI | 1073061628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-5402) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-5402) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |