NPI | 1780611970 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0181) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2015-10-13 |