NPI | 1194866707 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C4737) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2023-05-25 |