NPI | 1285829382 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC45365) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 48446) |
Enumeration Date | 2007-09-11 |
Last Update Date | 2008-11-06 |