NPI | 1720120256 |
---|---|
Other Name | WILSON BEZERRA-FLANDERS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 3902) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 8586) |
101YM0800X Counselor, Mental Health (Licence: NY 3092) | |
101YM0800X Counselor, Mental Health (Licence: MA 6018) | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2021-12-01 |