NPI | 1346587342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR TO233) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: OR TO233) |
Enumeration Date | 2013-01-10 |
Last Update Date | 2013-01-10 |