NPI | 1447584461 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 11389) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 11389) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2009-09-23 |
Last Update Date | 2021-03-25 |