NPI | 1609487602 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2020-08-12 |
Last Update Date | 2020-10-19 |