| NPI | 1992282461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003794A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 88000464A) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2020-09-22 |