NPI | 1922017573 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001484A) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 646) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2008-10-17 |