NPI | 1497478747 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT143089) |
Enumeration Date | 2022-09-21 |
Last Update Date | 2023-12-27 |