NPI | 1992033807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA RC00049399) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA HP10001380) |
Enumeration Date | 2009-12-03 |
Last Update Date | 2009-12-03 |