| NPI | 1205896065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 237) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2024-11-05 |