NPI | 1962525832 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0295) |
Additional Taxonomies | 104100000X Social Worker (Licence: NM M1634) |
Enumeration Date | 2007-04-07 |
Last Update Date | 2007-07-08 |