NPI | 1083257067 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401222304) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017730) |
Enumeration Date | 2019-10-23 |
Last Update Date | 2022-08-05 |