NPI | 1669512232 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2007-02-06 |
Last Update Date | 2016-07-29 |