| NPI | 1770096059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: ID 5861763) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO NLC.0109761) |
| 101Y00000X Counselor (Licence: VT 097.0134512) | |
| 132700000X Dietary Manager (Licence: FL 328621) | |
| 133N00000X Nutritionist (Licence: WA NU60822507) | |
| 133N00000X Nutritionist (Licence: IA 126925) | |
| 133N00000X Nutritionist (Licence: FL TPND410) | |
| 133N00000X Nutritionist (Licence: DE DH-0000022) | |
| 133N00000X Nutritionist (Licence: IN 37003841A) | |
| 133N00000X Nutritionist (Licence: NM NDP-2023-0038) | |
| 133N00000X Nutritionist (Licence: UT 13420040-4901) | |
| 133N00000X Nutritionist (Licence: VT 074.0134403) | |
| 171400000X Health & Wellness Coach (Licence: FL 13123901) | |
| 175T00000X Peer Specialist (Licence: FL P00190) | |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2024-07-17 |