NPI | 1093962656 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI MFT-230) |
Enumeration Date | 2008-08-25 |
Last Update Date | 2020-01-22 |