NPI | 1629468517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68593) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
Enumeration Date | 2015-01-29 |
Last Update Date | 2015-05-06 |