NPI | 1942555651 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN PE0000011139) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TN PE0000011139) |
Enumeration Date | 2012-07-18 |
Last Update Date | 2012-07-18 |