| NPI | 1225570757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73499) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 73499) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2020-01-16 |