| NPI | 1710230628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 1804) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 11720) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2021-10-20 |