| NPI | 1891944302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 9374) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 6748) |
| 104100000X Social Worker | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2024-08-16 |