NPI | 1467191882 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI4097) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2022-06-02 |
Last Update Date | 2023-01-18 |