| NPI | 1851900427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61441809) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT61219790) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2023-11-06 |