| NPI | 1235267386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 6865) |
| 1744R1102X Specialist, Research Study | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2019-04-17 |