NPI | 1639550338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NH 58) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NH 28348) |
Enumeration Date | 2015-06-18 |
Last Update Date | 2015-06-18 |