NPI | 1093922411 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 32918) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000499) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2007-07-08 |