NPI | 1770277212 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 137365) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2023-06-07 |
Last Update Date | 2023-06-07 |