NPI | 1720649387 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3601) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL 16295) |
101YP2500X Counselor, Professional (Licence: TN 2896) | |
Enumeration Date | 2019-06-25 |
Last Update Date | 2019-06-25 |