NPI | 1194482703 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
104100000X Social Worker | |
Enumeration Date | 2021-11-18 |
Last Update Date | 2021-11-18 |