| NPI | 1144991530 |
|---|---|
| Professional Name | KEITH PRYOR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CT 5185) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CT 5185) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2022-09-21 |