| NPI | 1841903754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180014730) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-02-16 |