NPI | 1356654883 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: DE 20100629122) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE 20100629122) |
Enumeration Date | 2010-07-26 |
Last Update Date | 2010-07-26 |