NPI | 1780089128 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A11042) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A11042) |
Enumeration Date | 2014-10-28 |
Last Update Date | 2020-08-24 |