| NPI | 1932332509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1211106) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A0907074) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2019-06-11 |