| NPI | 1073627725 |
|---|---|
| Other Name | KEN R WALDMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 2-1460 TX) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 331) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2010-08-12 |