NPI | 1750597316 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1988) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA 000163) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2025-06-04 |