NPI | 1326580531 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124389) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 124389) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2016-11-07 |
Last Update Date | 2024-11-21 |