NPI | 1699102350 |
---|---|
Former Name | DARAN SHIPMAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002158) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000902) |
Enumeration Date | 2013-09-26 |
Last Update Date | 2023-08-28 |