NPI | 1851990220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ AC-GTL-20-01792) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-10-18 |
Last Update Date | 2020-10-18 |