| NPI | 1285136168 |
|---|---|
| Former Name | RYAN TUANKHANH NGUYEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145670) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106H00000X Marriage & Family Therapist (Licence: CA 120290) | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2024-04-03 |