| NPI | 1528544202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: GA PS814624915) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP1600X Counselor, Pastoral | |
| 102L00000X Psychoanalyst (Licence: GA 1528544202) | |
| 175F00000X Naturopath | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2023-09-13 |