NPI | 1235407644 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-12-13 |
Last Update Date | 2023-10-23 |