NPI | 1225668270 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 177F00000X Lodging |
Additional Taxonomies | 101Y00000X Counselor |
101YP1600X Counselor, Pastoral | |
175T00000X Peer Specialist | |
176P00000X Funeral Director | |
177F00000X Lodging | |
Enumeration Date | 2020-01-17 |
Last Update Date | 2020-01-17 |