| 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 |