NPI | 1649991969 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 111611) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-09-06 |
Last Update Date | 2023-05-09 |