| NPI | 1497008197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01365) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV MI0287) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2025-01-29 |