NPI | 1316477367 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134239) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 117625) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-06-13 |
Last Update Date | 2022-12-20 |