NPI | 1841025178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH25145) |
Enumeration Date | 2024-09-05 |
Last Update Date | 2025-09-01 |