NPI | 1699177980 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
103T00000X Psychologist | |
104100000X Social Worker | |
Enumeration Date | 2014-09-18 |
Last Update Date | 2014-09-18 |