NPI | 1366774325 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0000481) |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional | |
Enumeration Date | 2010-02-02 |
Last Update Date | 2024-02-29 |