| NPI | 1942396080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006737) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2025-12-29 |