| NPI | 1912208281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional | |
| 171R00000X Interpreter | |
| 1744R1102X Specialist Research Study | |
| 174H00000X Health Educator | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-11 |