NPI | 1184962375 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2518) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2466) |
Enumeration Date | 2013-01-22 |
Last Update Date | 2022-07-21 |