NPI | 1851576532 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC51258) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RAS A0605161338) |
106H00000X Marriage & Family Therapist (Licence: CA IMF48761) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A0605161338) | |
Enumeration Date | 2007-12-31 |
Last Update Date | 2012-07-24 |