NPI | 1508015975 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0845) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2008-09-10 |
Last Update Date | 2025-07-18 |