NPI | 1134927551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 14337) |
Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
Enumeration Date | 2025-03-03 |
Last Update Date | 2025-04-28 |