NPI | 1033373741 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP1600X Counselor, Pastoral | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2008-07-11 |
Last Update Date | 2008-07-11 |