NPI | 1902088032 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3102) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: TX 65976) |
101YP1600X Counselor, Pastoral (Licence: OK 3102) | |
Enumeration Date | 2007-11-30 |
Last Update Date | 2012-01-13 |