| NPI | 1447702857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IN 39002124A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 39002124A) |
| 101YP1600X Counselor Pastoral (Licence: IN 39002124A) | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |