| NPI | 1821681982 |
|---|---|
| Former Name | NTAKAUTIMANA ISSA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2025-05-18 |