| NPI | 1972287977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YM0800X Counselor, Mental Health | |
| 174H00000X Health Educator | |
| 175F00000X Naturopath | |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2025-05-29 |