NPI | 1437321999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2007037759) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2007037759) |
Enumeration Date | 2008-03-25 |
Last Update Date | 2009-03-19 |