NPI | 1487027330 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: TX 1202) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 4321) |
Enumeration Date | 2015-10-31 |
Last Update Date | 2015-10-31 |