NPI | 1093910721 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MA 7518) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-06-21 |
Last Update Date | 2013-09-09 |