NPI | 1891870176 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX LMFT489) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX LPC9549) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2025-09-11 |