NPI | 1346461837 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS T0167) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN LMT000999) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2016-03-29 |