NPI | 1497309934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 1497309934) |
Enumeration Date | 2019-08-01 |
Last Update Date | 2023-10-05 |