| NPI | 1326935644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 14209) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 14209) |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-06-19 |