| NPI | 1558136556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401225604) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401225604) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401225604) | |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2025-10-15 |