NPI | 1417379405 |
---|---|
Other Name | ANDRES RAUL ANDINO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 5172) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PR 748) |
Enumeration Date | 2014-01-10 |
Last Update Date | 2014-01-10 |