NPI | 1790208288 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119291) |
Enumeration Date | 2017-07-17 |
Last Update Date | 2023-06-20 |