| NPI | 1417104183 |
|---|---|
| Other Name | BOBBY ELLIOTT LEWIS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0138) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0138) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2015-11-13 |