NPI | 1841071958 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP1600X Counselor Pastoral |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
Enumeration Date | 2023-10-13 |
Last Update Date | 2023-10-13 |