NPI | 1801375340 |
---|---|
Other Name | MISCHA FREEMAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA 96062) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-08-07 |
Last Update Date | 2023-06-16 |