| NPI | 1235594367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 223) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 223) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |