| NPI | 1013288224 |
|---|---|
| Former Name | MAXWELL JAMES EWING |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OR 1013288224) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2022-07-21 |