NPI | 1679773766 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 0810) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 673-L) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2007-07-18 |