NPI | 1699743286 |
---|---|
Other Name | GEORGE M WOLCOTT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 106) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 15) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2007-07-09 |