NPI | 1942831862 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KS 03842) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KS 3551) |
Enumeration Date | 2020-01-29 |
Last Update Date | 2021-07-07 |