| NPI | 1225600216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 5651) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 5651) |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2025-04-01 |