| NPI | 1366803702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1803030) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A1602014) |
| Enumeration Date | 2016-03-13 |
| Last Update Date | 2024-02-27 |