| NPI | 1447499801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61159909) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T1329) |
| 106H00000X Marriage & Family Therapist (Licence: NV 1020) | |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2024-05-15 |