NPI | 1780057299 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: DE 80482) |
Enumeration Date | 2015-11-05 |
Last Update Date | 2015-11-05 |