NPI | 1497898902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1198) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA MFC 36210) |
106H00000X Marriage & Family Therapist (Licence: CA MFC 36210) | |
Enumeration Date | 2007-02-14 |
Last Update Date | 2015-08-31 |