NPI | 1508484924 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT-857) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2020-07-13 |
Last Update Date | 2023-09-27 |