| NPI | 1407016173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 60248) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 60248) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2012-07-13 |