| NPI | 1477921690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: FL 17820) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 17820) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |