NPI | 1851519698 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC 1684) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ME CC 1684) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2010-10-15 |