| NPI | 1982496717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFC377740) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MFC377740) |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |