| NPI | 1619251238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 106827) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 204541) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35002086A) | |
| 106H00000X Marriage & Family Therapist (Licence: SC 7971) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MT3971) | |
| 106H00000X Marriage & Family Therapist (Licence: NC 1791) | |
| 106H00000X Marriage & Family Therapist (Licence: TN 1049) | |
| 106H00000X Marriage & Family Therapist (Licence: KS 779) | |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2023-12-06 |