NPI | 1831528710 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68808) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 68808) |
Enumeration Date | 2013-11-01 |
Last Update Date | 2024-03-29 |