| NPI | 1659698926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: FL BA 74721) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL BA 74721) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |