NPI | 1447145057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 98981) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 98981) |
Enumeration Date | 2025-06-12 |
Last Update Date | 2025-06-16 |