| NPI | 1871731711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 101YS0200X Counselor School (Licence: IN 930784) | |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2024-04-19 |