| NPI | 1598387706 |
|---|---|
| Former Name | CHRISTOPHER W BOYLAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc02166) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60201099) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-13 |