NPI | 1285393843 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 94686) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2021-12-10 |
Last Update Date | 2021-12-10 |