| NPI | 1104548775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO60965682) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-15 |