NPI | 1114348729 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 003206) |
Additional Taxonomies | 101YP2500X Counselor Professional |
Enumeration Date | 2013-12-27 |
Last Update Date | 2018-10-02 |