| NPI | 1235390014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201427) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 63922) |
| 101YM0800X Counselor, Mental Health (Licence: TX 63922) | |
| 101YP2500X Counselor, Professional (Licence: TX 63922) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2018-11-19 |