| NPI | 1912459926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AR A1610127) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR P1911135) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2021-05-26 |