| NPI | 1013094812 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YS0200X Counselor, School | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 101YP1600X Counselor, Pastoral (Licence: TX 0260)  | |
| Enumeration Date | 2006-11-01 | 
| Last Update Date | 2025-09-11 |