NPI | 1396158564 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1410082) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR P1410082) |
Enumeration Date | 2014-06-05 |
Last Update Date | 2022-06-29 |