NPI | 1851720809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11841891-6009) |
Additional Taxonomies | 171R00000X Interpreter (Licence: UT 77-0608544) |
Enumeration Date | 2013-11-09 |
Last Update Date | 2020-07-08 |