NPI | 1467591321 |
---|---|
Other Name | TIM SMITH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 898) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 898) |
101YP2500X Counselor, Professional (Licence: NC 898) | |
101YP1600X Counselor, Pastoral (Licence: NC 898) | |
Enumeration Date | 2007-02-06 |
Last Update Date | 2007-09-10 |