NPI | 1538832308 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 4592) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2021-07-28 |
Last Update Date | 2024-07-17 |