| NPI | 1689796047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00001580) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60449716) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2024-11-09 |