NPI | 1285252791 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY 193200000X) |
101YM0800X Counselor, Mental Health | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2020-07-10 |
Last Update Date | 2023-11-13 |