NPI | 1174268056 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 205814) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
Enumeration Date | 2022-05-04 |
Last Update Date | 2022-05-04 |