| NPI | 1861797821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1301002) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A1012136) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2024-02-23 |