| NPI | 1144513284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01375) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CP0124) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2019-09-18 |