NPI | 1831505247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122154) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104078) |
Enumeration Date | 2014-07-07 |
Last Update Date | 2024-07-09 |