NPI | 1609006766 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IN 39003348A) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.0007959) |
Enumeration Date | 2009-07-22 |
Last Update Date | 2024-03-25 |