| NPI | 1922408004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC LMFT000169) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001428) |
| 106H00000X Marriage & Family Therapist (Licence: NC 1525) | |
| 106H00000X Marriage & Family Therapist (Licence: MD LCM790) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2026-01-08 |