| NPI | 1093161937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401225656) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701006597) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2026-06-24 |