NPI | 1871126250 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 372600000X Adult Companion |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-02-13 |
Last Update Date | 2021-04-06 |