NPI | 1023417375 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124393) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2014-08-21 |
Last Update Date | 2024-02-06 |