NPI | 1538117296 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC0443) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LCM091) |
101YP2500X Counselor, Professional (Licence: VA 0717000761) | |
101YP2500X Counselor, Professional (Licence: VA 0701000470) | |
101YP2500X Counselor, Professional (Licence: DC PRC111) | |
Enumeration Date | 2006-05-05 |
Last Update Date | 2007-07-08 |