| NPI | 1295552529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 99127463A) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IN 99127463A) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-10-07 |