NPI | 1821212879 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101211) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2007-04-12 |
Last Update Date | 2024-04-08 |