NPI | 1578279931 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 221700000X Art Therapist (Licence: MN 21-268) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 21-268) |
Enumeration Date | 2023-01-27 |
Last Update Date | 2023-01-27 |