| NPI | 1184410276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 88000140A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401225274) |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-11-06 |