NPI | 1730405218 |
---|---|
Other Name | REGGIE POWELL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001703-01) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2010-04-09 |
Last Update Date | 2021-01-18 |