NPI | 1669556023 |
---|---|
Other Name | BOB SIMMONS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00011144) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 42611) |
106H00000X Marriage & Family Therapist (Licence: WA LF00002650) | |
Enumeration Date | 2006-10-24 |
Last Update Date | 2011-07-08 |