| NPI | 1114332723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV MI2917) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2024-12-09 |