NPI | 1538902259 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37AC00799300) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00799300) |
101YP2500X Counselor, Professional (Licence: NJ 37AC00799300) | |
Enumeration Date | 2024-06-18 |
Last Update Date | 2024-06-18 |