| NPI | 1033935127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK LPC02938) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 2938) |
| Enumeration Date | 2024-11-23 |
| Last Update Date | 2025-03-03 |