| NPI | 1083022248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014622) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401014622) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2019-10-10 |