| NPI | 1285281667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LPCC14494) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA ND1160) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2023-09-20 |