NPI | 1124513692 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121211) |
Additional Taxonomies | 101Y00000X Counselor |
171M00000X Case Manager/Care Coordinator | |
106H00000X Marriage & Family Therapist (Licence: CA 111480) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-27 |
Last Update Date | 2024-10-09 |