NPI | 1932287190 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 18421) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 18421) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2024-11-04 |