NPI | 1720447451 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102099) |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2016-02-23 |
Last Update Date | 2017-10-05 |