NPI | 1891330809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CI715) |
Enumeration Date | 2019-11-13 |
Last Update Date | 2023-08-09 |