NPI | 1033403878 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0165731) |
Enumeration Date | 2011-06-08 |
Last Update Date | 2015-04-06 |