| NPI | 1922341353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AR P2308023) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR M2308005) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2023-08-25 |