NPI | 1861817157 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99271) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2014-02-24 |
Last Update Date | 2023-02-08 |