NPI | 1780220350 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 916-9-1-17-368) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 916-9-1-17) |
Enumeration Date | 2019-11-19 |
Last Update Date | 2020-02-25 |