NPI | 1780071449 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1681) |
Enumeration Date | 2015-04-21 |
Last Update Date | 2024-07-19 |