NPI | 1265251664 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149450) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2024-10-03 |
Last Update Date | 2024-10-07 |