NPI | 1033555362 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 102L00000X Psychoanalyst (Licence: CA MFC23782) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC23782) |
Enumeration Date | 2013-05-14 |
Last Update Date | 2013-05-14 |