| NPI | 1992187561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1711383) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A1504064) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2017-11-28 |