| NPI | 1427357615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN LPC0000005266) |
| Additional Taxonomies | 225A00000X Music Therapist |
| 101YP2500X Counselor, Professional (Licence: TN LPC0000005266) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2024-03-08 |