NPI | 1265295588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 88002185A) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: IN 88002185A) |
Enumeration Date | 2024-01-31 |
Last Update Date | 2025-08-01 |