NPI | 1194261891 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135966) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF#96846) |
Enumeration Date | 2017-01-18 |
Last Update Date | 2023-07-07 |