| NPI | 1447778410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008654) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC008654) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC008654) | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-09-13 |