NPI | 1841339082 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 60891) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 200871) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2008-07-28 |