NPI | 1770139065 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
372600000X Adult Companion | |
Enumeration Date | 2019-08-13 |
Last Update Date | 2024-09-26 |