| NPI | 1831155357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NE 1243) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 1769) |
| 101YP1600X Counselor Pastoral | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2025-09-11 |