NPI | 1295096220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 5685) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 003343) |
Enumeration Date | 2012-06-06 |
Last Update Date | 2023-07-27 |