NPI | 1326631334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA APCC12210) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA 12100) | |
101YM0800X Counselor, Mental Health (Licence: CA 12210) | |
101YP2500X Counselor, Professional (Licence: CA APCC12210) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-02-19 |
Last Update Date | 2023-02-24 |