NPI | 1730300070 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 46939) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 80563) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2025-02-19 |