NPI | 1609978113 |
---|---|
Other Name | ROD LIMB |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171400000X |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LCPC344) |
106H00000X Marriage & Family Therapist (Licence: ID LMFT28) | |
Enumeration Date | 2006-09-04 |
Last Update Date | 2023-11-03 |