NPI | 1740667385 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178010039) |
Enumeration Date | 2015-05-04 |
Last Update Date | 2023-12-07 |