NPI | 1154709988 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC 321) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH10287) |
Enumeration Date | 2015-05-13 |
Last Update Date | 2015-05-13 |