NPI | 1942778840 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203345) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 00002291) |
Enumeration Date | 2018-11-08 |
Last Update Date | 2023-02-14 |