NPI | 1033348750 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 798) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: NC 37) |
Enumeration Date | 2009-07-02 |
Last Update Date | 2009-07-02 |