| NPI | 1861776866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 240 228) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 1163-226) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |