| NPI | 1730678525 |
|---|---|
| Other Name | RE-SOURCE THERAPY AND CONSULTATION LLC |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3998) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2026-04-08 |