NPI | 1366642761 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010247) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401010247) |
101YM0800X Counselor, Mental Health (Licence: MI 6401010247) | |
101YP1600X Counselor, Pastoral (Licence: MI 6401010247) | |
Enumeration Date | 2007-07-23 |
Last Update Date | 2017-02-02 |