| NPI | 1831515592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1702248) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A1401004) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2017-03-13 |