NPI | 1801216528 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: FL 7660) |
Additional Taxonomies | 101Y00000X Counselor |
103TC1900X Psychologist, Counseling | |
Enumeration Date | 2014-04-21 |
Last Update Date | 2014-04-21 |