| NPI | 1942349568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 2553) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN LPC2553) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2018-03-17 |