| NPI | 1205185998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPC0000003845) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2023-08-29 |