NPI | 1437637592 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102199) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39003606A) |
Enumeration Date | 2018-08-01 |
Last Update Date | 2024-10-09 |