| NPI | 1881004620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223142) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401223142) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2025-06-12 |