NPI | 1598206310 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1733) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2017-03-13 |
Last Update Date | 2021-06-25 |