NPI | 1942454350 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 481) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 001052) |
101YM0800X Counselor, Mental Health (Licence: NE 3132) | |
101YM0800X Counselor, Mental Health (Licence: NE 1626) | |
Enumeration Date | 2008-11-12 |
Last Update Date | 2010-06-18 |