| NPI | 1144239757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001832) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: ME LP2116) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2009-07-16 |