| NPI | 1972274934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61227305) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA CG61227305) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2025-05-20 |