| NPI | 1235541244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002882A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 88000022A) |
| Enumeration Date | 2014-05-25 |
| Last Update Date | 2022-07-21 |