NPI | 1336924422 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10012704) |
Enumeration Date | 2023-08-28 |
Last Update Date | 2023-08-28 |