| NPI | 1578298279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |