NPI | 1437382538 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374K00000X Religious Nonmedical Practitioner (Licence: OK 114477) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2009-08-24 |
Last Update Date | 2023-08-17 |