NPI | 1497397178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117467) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: CA 117467) |
101Y00000X Counselor | |
101YM0800X Counselor, Mental Health (Licence: CA 117467) | |
171M00000X Case Manager/Care Coordinator (Licence: CA 117467) | |
Enumeration Date | 2019-10-14 |
Last Update Date | 2024-09-30 |