NPI | 1255566881 |
---|---|
Former Name | JAMES TEKULVE MARTIAL-VANN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 6707480-3904) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL TPMF826) |
106H00000X Marriage & Family Therapist (Licence: NV 4253-R) | |
106H00000X Marriage & Family Therapist (Licence: CO MFT.0002259) | |
106H00000X Marriage & Family Therapist (Licence: MI 4101007287) | |
106H00000X Marriage & Family Therapist (Licence: GA MFT001145) | |
Enumeration Date | 2009-05-27 |
Last Update Date | 2023-11-06 |