NPI | 1528420213 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.011327) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2024-03-06 |