NPI | 1285876474 |
---|---|
Other Name | ROCKY SPINO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC000549) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068-0000345) |
101YM0800X Counselor, Mental Health (Licence: NY 004284-1) | |
101YP2500X Counselor, Professional (Licence: CO 0006219) | |
Enumeration Date | 2009-04-02 |
Last Update Date | 2018-03-17 |