NPI | 1689794687 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000472) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2007-03-31 |
Last Update Date | 2022-05-10 |