| NPI | 1407278542 |
|---|---|
| Former Name | JEREMY ROBERT OROSCO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: OK 101YP1600X) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: FL 16544) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2015-07-06 |