| NPI | 1497117089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 7979855-3902) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2023-07-17 |