| NPI | 1275319287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: CA 18721) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YP2500X Counselor, Professional (Licence: CA 18721) | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2026-03-20 |