NPI | 1801497839 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP5754) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2020-11-05 |
Last Update Date | 2025-05-15 |