| NPI | 1215284880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204559) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 101YS0200X Counselor, School | |
| 106H00000X Marriage & Family Therapist (Licence: CA 132208) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2023-02-20 |