| 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 |