NPI | 1073679643 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00004904) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2025-09-11 |