NPI | 1871364265 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 374K00000X Religious Nonmedical Practitioner |
Enumeration Date | 2024-01-12 |
Last Update Date | 2024-01-12 |