NPI | 1447617071 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141639) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 102133) |
101Y00000X Counselor | |
101YM0800X Counselor, Mental Health | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2016-01-27 |
Last Update Date | 2023-10-04 |