NPI | 1104275908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119096) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
390200000X Student in an Organized Health Care Education/Training Program | |
106H00000X Marriage & Family Therapist (Licence: CA 100950) | |
104100000X Social Worker | |
Enumeration Date | 2016-06-13 |
Last Update Date | 2022-07-21 |