NPI | 1114413952 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133351) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 105711) |
Enumeration Date | 2018-07-05 |
Last Update Date | 2023-08-14 |