NPI | 1750442208 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 72341) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2006-12-12 |
Last Update Date | 2013-08-01 |