NPI | 1023797867 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101Y00000X Counselor (Licence: R1514390723) |
Enumeration Date | 2023-07-17 |
Last Update Date | 2024-06-21 |