NPI | 1114018876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MO 53979) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 002707) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2007-07-09 |