NPI | 1740591460 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: CA 2012306) |
Enumeration Date | 2010-06-28 |
Last Update Date | 2020-05-21 |