| NPI | 1114581915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35002135A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 85000344A) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2020-11-11 |