| NPI | 1023762978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 2103709) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-09-28 |