| NPI | 1841254877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 16186) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR P9712027) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2007-07-08 |