| NPI | 1760738306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH 13230) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: FL MH 13230) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH 13230) | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2015-03-16 |