| NPI | 1831528710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68808) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 68808) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2024-03-29 |