| NPI | 1144981382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 15470) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 15470) |
| 101YP2500X Counselor, Professional (Licence: NC 15470) | |
| Enumeration Date | 2022-01-09 |
| Last Update Date | 2023-10-27 |