NPI | 1194182428 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225A00000X Music Therapist (Licence: LA 4850) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2016-01-17 |
Last Update Date | 2024-07-17 |