NPI | 1962181123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN CC03966) |
Additional Taxonomies | 101YP2500X Counselor Professional |
Enumeration Date | 2023-07-14 |
Last Update Date | 2023-09-12 |