| NPI | 1255158309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 1744R1102X Specialist, Research Study | |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2024-09-20 |