NPI | 1851798383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101607) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 76995) |
Enumeration Date | 2014-11-26 |
Last Update Date | 2018-05-16 |