NPI | 1447249644 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 68292) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 068292) |
Enumeration Date | 2005-10-19 |
Last Update Date | 2007-07-08 |