| NPI | 1699103812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 7243) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL 50541) |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2013-10-25 |