NPI | 1184452609 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171400000X Health & Wellness Coach |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2024-07-25 |
Last Update Date | 2025-06-16 |