NPI | 1114488038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6592) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2019-03-26 |
Last Update Date | 2019-03-26 |