| NPI | 1972845394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 173C00000X Reflexologist |
| 174H00000X Health Educator | |
| 175F00000X Naturopath | |
| 175L00000X Homeopath | |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2025-02-13 |