NPI | 1154465821 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133088) |
Additional Taxonomies | 104100000X Social Worker |
171M00000X Case Manager/Care Coordinator | |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2007-02-16 |
Last Update Date | 2024-09-10 |