NPI | 1346300373 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT #90726) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF48054) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2016-10-11 |