NPI | 1225371917 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 3450) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 3450) |
Enumeration Date | 2013-04-01 |
Last Update Date | 2025-10-06 |