| NPI | 1154606267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14017) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: DC NA) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |