NPI | 1184866519 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF54414) |
Enumeration Date | 2009-03-31 |
Last Update Date | 2013-02-05 |