NPI | 1225129828 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK PCOP621) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK PCOP621) |
101Y00000X Counselor | |
Enumeration Date | 2006-09-27 |
Last Update Date | 2024-08-05 |