NPI | 1992494983 |
---|---|
Former Name | ANTON AMIR MAYS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-05-04 |
Last Update Date | 2023-06-29 |