| NPI | 1033806732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: IL 586237) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178018678) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-04-21 |