NPI | 1811346281 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132426) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: CA 132426) | |
106H00000X Marriage & Family Therapist (Licence: CA AMFT104157) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-06-07 |
Last Update Date | 2024-05-14 |