NPI | 1427003912 |
---|---|
Former Name | MARC ORNER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 2073) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 828) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2019-02-10 |