| NPI | 1306168174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64770) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 64770) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2011-02-23 |