NPI | 1750027447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 14417) |
Enumeration Date | 2022-05-06 |
Last Update Date | 2023-10-06 |