NPI | 1881894798 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH000090982) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00009082) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2014-03-31 |