NPI | 1790663862 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2025-08-26 |
Last Update Date | 2025-08-28 |