| NPI | 1811284557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.003631) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: IL 180.003631) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |