| NPI | 1700903226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00001040) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LH60524295) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60524295) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2024-06-03 |