NPI | 1174788939 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS TO366) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS TO 366) |
Enumeration Date | 2008-07-22 |
Last Update Date | 2011-06-08 |