NPI | 1235290073 |
---|---|
Former Name | EDWARD MYLES PARO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL PMH 732) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA MHC 329) |
101YM0800X Counselor, Mental Health (Licence: CT LPC 001127) | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2007-07-08 |