| NPI | 1265147219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10725-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 10725-125) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: CA 22234) | |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2026-07-23 |