NPI | 1144901976 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 2308) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 1234) |
Enumeration Date | 2023-07-25 |
Last Update Date | 2023-07-25 |