NPI | 1629157896 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 0071) |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2006-11-06 |
Last Update Date | 2024-08-17 |