NPI | 1396493441 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC61286801) |
Additional Taxonomies | 101Y00000X Counselor |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-03-16 |
Last Update Date | 2022-05-06 |