NPI | 1912664731 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A16941) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-11-29 |
Last Update Date | 2021-11-29 |