NPI | 1447594270 |
---|---|
Other Name | GODFREY SANTILLANA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63331) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 63331) |
Enumeration Date | 2012-11-16 |
Last Update Date | 2012-11-16 |