NPI | 1427542000 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC LMFT000065) |
Additional Taxonomies | 101Y00000X Counselor (Licence: DC PRC618) |
Enumeration Date | 2018-06-18 |
Last Update Date | 2018-06-18 |