NPI | 1386963494 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 7350) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OK 7350) |
101Y00000X Counselor | |
Enumeration Date | 2010-05-28 |
Last Update Date | 2023-04-10 |