NPI | 1740398981 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI RINP37097) |
Enumeration Date | 2006-08-28 |
Last Update Date | 2012-11-19 |