NPI | 1720456635 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1903) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60817829) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2024-07-10 |