| NPI | 1760125843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A057340620) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-18 |