NPI | 1366591497 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 4828 44622) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
Enumeration Date | 2007-01-09 |
Last Update Date | 2008-08-12 |