NPI | 1063685758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3519-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2008-04-02 |
Last Update Date | 2008-04-02 |