NPI | 1609292085 |
---|---|
Former Name | MICHAEL J FOLKER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT99412) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF76674) |
Enumeration Date | 2014-03-10 |
Last Update Date | 2019-03-13 |