NPI | 1669640231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
104100000X Social Worker | |
Enumeration Date | 2008-02-15 |
Last Update Date | 2018-05-30 |