| NPI | 1285294777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC13384) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APPC3695) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2023-03-23 |