NPI | 1215624028 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101Y00000X Counselor |
171M00000X Case Manager/Care Coordinator | |
174H00000X Health Educator | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2023-04-20 |
Last Update Date | 2024-09-09 |