| NPI | 1013094812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: TX 0260) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |