NPI | 1114341229 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131641) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2014-02-10 |
Last Update Date | 2023-10-05 |