NPI | 1336986488 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 9202) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 9202) |
Enumeration Date | 2024-07-15 |
Last Update Date | 2024-07-15 |