| NPI | 1407009715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 3955) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: TX 4277) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-11-04 |