NPI | 1780389833 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C10264) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61643244) |
101Y00000X Counselor (Licence: TX 92900) | |
101Y00000X Counselor (Licence: OR C10264) | |
101YM0800X Counselor, Mental Health (Licence: TX 92900) | |
101Y00000X Counselor (Licence: WA LH61643244) | |
Enumeration Date | 2023-03-30 |
Last Update Date | 2025-09-22 |