| NPI | 1932937075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37AC00787100) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-10636) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |