| NPI | 1972018760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2112003) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1703190) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-12-03 |
| Last Update Date | 2024-02-22 |