NPI | 1114709839 |
---|---|
Other Name | NICK ANDREW SALCEDO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 14973) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 142420) |
Enumeration Date | 2023-10-17 |
Last Update Date | 2023-10-30 |