NPI | 1730526518 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130900) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2013-06-03 |
Last Update Date | 2022-03-30 |