NPI | 1073158333 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC010371) |
Enumeration Date | 2019-11-11 |
Last Update Date | 2024-02-27 |