| NPI | 1386745172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ME MF 1594) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ME MF1594) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-02-04 |