| NPI | 1114256203 |
|---|---|
| Former Name | RICHARD P DIRECTO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61462317) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61216063) |
| 225700000X Massage Therapist (Licence: WA MA60091786) | |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2023-09-06 |