NPI | 1346400264 |
---|---|
Other Name | KIP G WAHLQUIST |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
Enumeration Date | 2008-06-13 |
Last Update Date | 2008-06-13 |