NPI | 1437505302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 81574) |
Enumeration Date | 2016-05-10 |
Last Update Date | 2018-08-14 |