NPI | 1295522001 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA APCC18657) |
Additional Taxonomies | 221700000X Art Therapist (Licence: 25-141) |
Enumeration Date | 2025-04-23 |
Last Update Date | 2025-04-23 |