| NPI | 1336304104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001990A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IN 39001990A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000650A) | |
| 102L00000X Psychoanalyst (Licence: IN 39001990A) | |
| 106H00000X Marriage & Family Therapist (Licence: IN 39001990A) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2024-03-13 |