NPI | 1649266388 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 4954) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 1485) |
101YP2500X Counselor, Professional (Licence: NE 57) | |
Enumeration Date | 2005-09-27 |
Last Update Date | 2020-12-04 |