| NPI | 1124518436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY p12429) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 0) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2019-01-24 |