NPI | 1841678976 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 173365) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00568100) |
101YP2500X Counselor, Professional | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2015-05-08 |
Last Update Date | 2022-11-29 |