NPI | 1447320809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 4927) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC 4927) |
101YP2500X Counselor, Professional (Licence: NC 4927) | |
Enumeration Date | 2006-11-09 |
Last Update Date | 2019-10-21 |