| NPI | 1639805062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 831160) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: 2544005) |
| 101YS0200X Counselor, School (Licence: 4013774) | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |