NPI | 1245732486 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 14705) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 7917) |
Enumeration Date | 2018-03-04 |
Last Update Date | 2023-09-21 |