| NPI | 1114503711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 0000000) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN 0000000) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |