NPI | 1831422088 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 6074) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2009-09-04 |
Last Update Date | 2017-07-20 |