NPI | 1780154666 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003602A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 88000521A) |
Enumeration Date | 2018-12-04 |
Last Update Date | 2020-03-31 |