| NPI | 1831525450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR C7671) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2024-11-14 |