| NPI | 1013048230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 42850) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180003205) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |