| NPI | 1912485657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2009000351) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: MO 2009000351) |
| 101YP1600X Counselor, Pastoral (Licence: TN 0089565) | |
| 101YP2500X Counselor, Professional (Licence: TN 0089565) | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2021-11-23 |