| NPI | 1306603170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TN 6125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 6125) |
| 101YP2500X Counselor, Professional (Licence: TN 6125) | |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |