NPI | 1518397355 |
---|---|
Former Name | BRIAN MOUNT-WALKER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LCPC-6183) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LPC-5412) |
Enumeration Date | 2013-11-14 |
Last Update Date | 2022-08-10 |