NPI | 1891886610 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE PC-0000288) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC 0000288) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2009-06-26 |