NPI | 1689349029 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC12003) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2021-08-09 |
Last Update Date | 2022-07-29 |