| NPI | 1346776739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.1700038-TRNE) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2018-10-02 |