NPI | 1124616636 |
---|---|
Other Name | GUS ALVAREZ-OLSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 80156) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203260) |
Enumeration Date | 2021-01-10 |
Last Update Date | 2022-01-24 |