| NPI | 1598858474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 1452) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN LPC0000001452) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-05-17 |