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 |