NPI | 1942655824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PSB94022347) |
Enumeration Date | 2016-04-28 |
Last Update Date | 2018-08-27 |