NPI | 1417795733 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY NYCPS-4296) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-07-19 |
Last Update Date | 2024-07-19 |