NPI | 1821585308 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129095) |
Additional Taxonomies | 101YP2500X Counselor Professional |
Enumeration Date | 2018-04-19 |
Last Update Date | 2024-01-18 |