NPI | 1386193506 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A12486) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC A12486) |
Enumeration Date | 2016-09-29 |
Last Update Date | 2016-10-03 |