NPI | 1437507134 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT147046) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT106450) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-06-03 |
Last Update Date | 2024-05-30 |