NPI | 1386898682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP386) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP386) |
101YP1600X Counselor, Pastoral (Licence: MD LGP386) | |
101YP2500X Counselor, Professional (Licence: MD LGP386) | |
Enumeration Date | 2008-11-13 |
Last Update Date | 2008-11-13 |