| NPI | 1487789624 |
|---|---|
| Professional Name | JOE ETHERTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 32701) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: LA 863) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2018-01-25 |