NPI | 1730367988 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52652) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
106H00000X Marriage & Family Therapist (Licence: CA 59604) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-02-08 |
Last Update Date | 2013-01-28 |