| NPI | 1891718540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: IL 180000566) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180000566) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |