| NPI | 1669079539 |
|---|---|
| Former Name | KATHERINE TOIREASA CZERMERYS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0135738) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 013716) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2024-02-28 |