NPI | 1477954394 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 156560) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 73494) |
106H00000X Marriage & Family Therapist (Licence: CA 109777) | |
Enumeration Date | 2014-09-10 |
Last Update Date | 2025-09-22 |