NPI | 1497896849 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2500) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1359) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2007-07-08 |