| NPI | 1659954717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK 1707579) |
| 101YM0800X Counselor, Mental Health (Licence: AK 1703638) | |
| 101YM0800X Counselor, Mental Health (Licence: AK 1708274) | |
| 101YM0800X Counselor, Mental Health (Licence: AK 1713721) | |
| 101YM0800X Counselor, Mental Health (Licence: AK 1708282) | |
| 101YM0800X Counselor, Mental Health (Licence: AK 1708307) | |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |