NPI | 1437482791 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: NM 294612) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NM 294612) |
Enumeration Date | 2009-09-17 |
Last Update Date | 2009-09-17 |