| NPI | 1407745979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2014030131) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |