| NPI | 1346427093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR 2324-C) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR M-1978) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2019-04-05 |