| NPI | 1225214828 |
|---|---|
| Other Name | THE WANDERING THERAPIST |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 7997802-3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID MFTI-3914) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2020-05-05 |