| NPI | 1760055917 | 
|---|---|
| Other Name | NICK PAUL PATRAS | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67647)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2021-07-23 | 
| Last Update Date | 2024-08-16 |