NPI | 1457766453 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 3293-R) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 116555) |
106H00000X Marriage & Family Therapist (Licence: CA IMF79458) | |
Enumeration Date | 2014-06-27 |
Last Update Date | 2024-05-15 |