| 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 |