NPI | 1427176825 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA 11411) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2023-10-31 |