NPI | 1780218230 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE PC-0011432) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-02-24 |
Last Update Date | 2023-09-08 |