| NPI | 1669110045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: FL CRPS.0100823-P) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2025-02-25 |