NPI | 1063547917 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 49156) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 43630) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2016-08-29 |