NPI | 1740356419 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 44055) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 44055) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2011-10-17 |