| NPI | 1033994595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2506006) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A2308023) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2025-06-10 |