| NPI | 1427454610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6801096697) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801096697) |
| 101YP1600X Counselor, Pastoral (Licence: MI 6801096697) | |
| 101YP2500X Counselor, Professional (Licence: MI 6801096697) | |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |