NPI | 1558322495 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 3249) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: NC 0045) |
Enumeration Date | 2006-03-30 |
Last Update Date | 2007-07-24 |