NPI | 1932371234 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 1649) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 1649) |
Enumeration Date | 2008-03-26 |
Last Update Date | 2021-09-28 |