NPI | 1386879732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9898) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH9898) |
101YP2500X Counselor, Professional (Licence: FL MH9898) | |
Enumeration Date | 2009-05-28 |
Last Update Date | 2009-10-30 |