| NPI | 1528379286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND-180) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 14896) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2017-04-10 |