| NPI | 1508291188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10272125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 68766) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2023-03-06 |