NPI | 1437308517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61083733) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC60042044) |
Enumeration Date | 2008-09-15 |
Last Update Date | 2024-12-11 |