| NPI | 1306161526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC23407) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC8129) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2026-08-11 |