NPI | 1497440028 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional | |
101YS0200X Counselor, School | |
1041C0700X Social Worker, Clinical | |
1041S0200X Social Worker, School | |
Enumeration Date | 2023-04-10 |
Last Update Date | 2023-04-10 |