| NPI | 1366671661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK LPC04569) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: OK LPC04569) | |
| 101YM0800X Counselor, Mental Health (Licence: OK LPC04569) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2025-01-11 |