NPI | 1508413287 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 98002878A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC015002) |
101YM0800X Counselor, Mental Health (Licence: OH E.2202961) | |
Enumeration Date | 2019-08-19 |
Last Update Date | 2024-04-30 |