| NPI | 1780299859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2303003) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A2009111) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2025-10-15 |