| NPI | 1699207761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61655803) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 73731) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2025-08-28 |