NPI | 1588495279 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8241) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 8241) |
101YS0200X Counselor, School (Licence: LA 8241) | |
Enumeration Date | 2024-08-13 |
Last Update Date | 2024-08-13 |