NPI | 1225511389 |
---|---|
Other Name | RICK GONZALEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108228) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 5435) |
Enumeration Date | 2018-09-13 |
Last Update Date | 2018-09-13 |