NPI | 1457446858 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 4267-r) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA mfc38756) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2023-12-12 |