| NPI | 1992250765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| 175L00000X Homeopath | |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |