NPI | 1528587433 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78216) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
Enumeration Date | 2017-09-12 |
Last Update Date | 2021-06-09 |