| NPI | 1871941302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018988) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2022-03-07 |