| NPI | 1881732006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA PAMF000327) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000327) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2023-06-19 |