NPI | 1982880977 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 34003237A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 680101128) |
Enumeration Date | 2008-01-21 |
Last Update Date | 2025-02-23 |