| NPI | 1558005942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23907) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 174V00000X Clinical Ethicist (Licence: 00092565) | |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2025-02-19 |