| NPI | 1457951048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00249200) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 37PC00249200) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2020-11-01 |