NPI | 1326232497 |
---|---|
Other Name | DERRICK LAM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52609) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2007-08-31 |
Last Update Date | 2020-09-29 |