NPI | 1427738947 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 13381) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 133881) |
Enumeration Date | 2023-07-19 |
Last Update Date | 2023-07-19 |