| NPI | 1811064694 |
|---|---|
| Other Name | JAY MARTIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 902) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-05-08 |