| NPI | 1194169722 |
|---|---|
| Former Name | KOMI HONU AMEDEDJI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 9931) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1823) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2022-02-01 |