NPI | 1033638937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101Y00000X Counselor |
172V00000X Community Health Worker | |
Enumeration Date | 2017-09-12 |
Last Update Date | 2023-06-06 |