| NPI | 1679042220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60897375) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 20666) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2025-11-06 |