NPI | 1881801934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3388) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3388) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2024-03-28 |