| NPI | 1730623117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC 14822) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2020-09-11 |