NPI | 1003328188 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 100713) |
Enumeration Date | 2017-10-30 |
Last Update Date | 2017-11-19 |