| NPI | 1891884102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 1447) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN LPC1447) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-10-11 |