NPI | 1750970711 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2570) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2021-01-14 |
Last Update Date | 2024-02-26 |