NPI | 1659125128 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 12112) |
Enumeration Date | 2024-04-12 |
Last Update Date | 2024-04-12 |