NPI | 1396438271 |
---|---|
Other Name | JUAN JOSE MARTINEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 6224) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 6224) |
Enumeration Date | 2023-05-29 |
Last Update Date | 2023-05-29 |