NPI | 1891983607 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2949) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK AK300) |
Enumeration Date | 2007-10-05 |
Last Update Date | 2024-11-27 |