NPI | 1437453115 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 91081) |
Additional Taxonomies | 174H00000X Health Educator |
Enumeration Date | 2011-01-10 |
Last Update Date | 2021-05-03 |