NPI | 1689499188 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MG.61603264) |
Enumeration Date | 2024-11-19 |
Last Update Date | 2025-03-20 |