| NPI | 1437993458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 1061376) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC00066-A) |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-08-15 |