NPI | 1174381396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
102L00000X Psychoanalyst | |
Enumeration Date | 2024-03-12 |
Last Update Date | 2024-03-12 |