NPI | 1437811387 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139105) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT123893) |
Enumeration Date | 2021-10-07 |
Last Update Date | 2023-04-15 |