NPI | 1659502193 |
---|---|
Other Name | BART GROOMS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL L138) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 1720) |
Enumeration Date | 2009-07-31 |
Last Update Date | 2009-07-31 |