NPI | 1538396429 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT-23) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT32960) |
Enumeration Date | 2009-06-17 |
Last Update Date | 2016-02-24 |