NPI | 1609006287 |
---|---|
Other Name | OZZIE GONTANG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 7695) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 7695) |
Enumeration Date | 2009-07-17 |
Last Update Date | 2022-02-17 |