| NPI | 1891983151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 11678) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 3334) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2014-10-10 |