| NPI | 1366894081 |
|---|---|
| Former Name | THOMAS ALLEN OWSLEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73767) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202218) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2024-05-14 |