| NPI | 1841861804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2238) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS 2238) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-07-09 |