NPI | 1144537598 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 81917) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-09-07 |
Last Update Date | 2018-03-13 |