NPI | 1376617209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 4034) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 4034) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2024-11-20 |