| NPI | 1215283460 |
|---|---|
| Former Name | JONATHAN TAKANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LGP13283) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2023-05-19 |