NPI | 1477101962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP1600X Counselor, Pastoral | |
Enumeration Date | 2019-08-28 |
Last Update Date | 2020-04-30 |