NPI | 1093517054 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101YS0200X Counselor, School |
Enumeration Date | 2025-03-27 |
Last Update Date | 2025-03-27 |