NPI | 1871052134 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: NE 3647) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT BBH-PCLC-LIC-32427M) |
101YP2500X Counselor, Professional (Licence: MT 40038) | |
Enumeration Date | 2019-03-17 |
Last Update Date | 2024-05-17 |