NPI | 1952730467 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5873) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-11-05 |
Last Update Date | 2019-07-18 |