| NPI | 1255039558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-25012) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: GA LPC-GA-2212) | |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2026-08-07 |