NPI | 1285291088 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2676) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 5584) |
101YM0800X Counselor, Mental Health (Licence: NE 2662) | |
101YM0800X Counselor, Mental Health (Licence: KS 03070) | |
101YM0800X Counselor, Mental Health (Licence: NE 11855) | |
Enumeration Date | 2019-05-28 |
Last Update Date | 2021-10-20 |