| NPI | 1780042747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: IN 39003709A) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2020-12-08 |