| NPI | 1679942171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 3999) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 69695) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2022-02-16 |