NPI | 1114941242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 4) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: NH 48) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-07-08 |