NPI | 1194592931 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA APC009905) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-12-11 |
Last Update Date | 2024-08-24 |