NPI | 1528689825 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39005131A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-04-28 |
Last Update Date | 2025-01-13 |