| NPI | 1154701027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 175T00000X Peer Specialist (Licence: CA MPSS-BZUFIX) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2024-09-03 |