NPI | 1386314987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2021-09-15 |
Last Update Date | 2025-05-09 |