NPI | 1326514290 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 104100000X Social Worker |
106H00000X Marriage & Family Therapist | |
174H00000X Health Educator | |
Enumeration Date | 2018-10-18 |
Last Update Date | 2020-08-07 |