NPI | 1285664706 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA SW004486E) |
Additional Taxonomies | 101YP1600X Counselor Pastoral (Licence: PA SW004486E) |
101YP2500X Counselor Professional (Licence: PA SW004486E) | |
104100000X Social Worker (Licence: PA SW004486E) | |
Enumeration Date | 2006-07-03 |
Last Update Date | 2007-07-08 |