NPI | 1801448881 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL A14860) |
Enumeration Date | 2019-07-10 |
Last Update Date | 2024-10-19 |