| NPI | 1588971907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2006037997) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2016-08-10 |